Organization
TABLE MOUNTAIN VISION CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL COPELAND (OFFICE MANAGER)
(303) 271-1400
Entity
Organization
Contact information
Practice address
1409 WASHINGTON AVE., GOLDEN, CO 80401
(303) 271-1400
(303) 271-9314
Mailing address
1409 WASHINGTON AVE., GOLDEN, CO 80401
(303) 271-1400
(303) 271-9314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CO1678
CO
Other
Enumeration date
04/08/2008
Last updated
04/16/2014
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